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Organization
PERLA DENTAL OF SOUTH DALLAS
Active
Organization
PERLA DENTAL OF SOUTH DALLAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYESHA HUSSAIN DDS (OWNER)
(469) 387-3332
Entity
Organization
Contact information
Practice address
7125 S POLK ST, DALLAS, TX 75232-3829
(469) 387-3332
Mailing address
1801 LANTANA CT, SOUTHLAKE, TX 76092-3571
(469) 387-3332
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21330
TX
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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